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									            Part 3 of…

CHANGE, LEADERSHIP AND THE
  INTERDISCIPLINARY TEAM

               CORK

         JUNE 10TH 2009

      Malcolm Rae, OBE, F.R.C.N.,

         Mobile: 07969895710
  Email:malcolmrae@blueyonder.co.uk
   HEALTH, SOCIAL, ECONOMIC AND
ENVIRONMENTAL CHANGES AHEAD (CONT’D)




 Crime, violence, drugs and alcohol. What will
  this mean for future health care?
                                                  2
   HEALTH, SOCIAL, ECONOMIC AND
ENVIRONMENTAL CHANGES AHEAD (CONT’D)

 Terrorism.




 Housing. Urban planning.
 Ryan inquiry                     3
ENVIRONMENTS MATTER –
  LILIES LOVE WATER




                        4
   NEW HORIZONS – REPLACING THE
   NATIONAL SERVICE FRAMEWORK

 What do you consider are the service
  developments which have been successful?


 What changes would you like to see in mental
  health services over the next 10 years?



                                                 5
               NEW HORIZONS
 Advance high quality care, build on new teams,
  i.e. Early Intervention, improve access
 Responsive to gender needs
 Maintain social networks
 Concern for those who lead chaotic lives and to
  look closely at the needs and support for people
  with long standing problems


                                                   6
             NEW HORIZONS        (cont’d)

 Compelling vision for public mental health:
  –   Prevention
  –   Health promotion
  –   Quality of life
  –   Ambition and hope
  –   Building on strengths

 Link to emerging strategies for children/YP
 Tackle inequalities including DRE and Older
  People’s Mental Health

                                                7
              NEW HORIZONS                (cont’d)
 Ensure carer concerns are met, information,
  support, opportunities to influence care and
  service
 Enable commissioners to grasp and take forward
  priorities
  –   Service user / carer perspectives
  –   Whole system
  –   Social integration
  –   Housing
  –   Debt
  –   Recovery and inclusion                         8
          NEW HORIZONS          (cont’d)


 Stigma and discrimination to be improved, shape
  public attitudes
 Strategy for mental health and employment – real
  social inclusion
 Encourage employers to support the well being of
  their staff and assist in returning to work


                                                9
            NEW HORIZONS              (cont’d)

 Partnerships
  – Service users, carers and staff
  – Different agencies
  – Personalisation agenda, informed choice, direct
    payments
  – Well being, emotional and physical health needs to be
    met
  – Improve access to services for prisoners with mental
    health problems and better follow up on release
  – Media strategies
  – Personal outcomes and recovery
                                                        10
          WHAT IS YOUR ROLE?

 Develop skills to understand the complexity /
  and dilemmas.

 Develop a capability to handle combined
  information.

 To learn new ways of appreciating a situation,
  which called for the particular policy.

 If in doubt, seek assistance to aid understanding
  and application.
                                                   11
         WHAT IS YOUR ROLE?

 Ask yourself, how will these changes impact
  on patient care? Will it improve or negate?
 Become fluent in policy and environmental
  influences.
 Sharpen your cost awareness and learn how
  to prove the financial worth and cost
  effectiveness of nurses.
 Horizons scan – look for new developments,
  trends, opportunities and threats.
                                                12
SOME IDEAS TO AID UNDERSTANDING
  OF HEALTH AND SOCIAL POLICY
 Ask your professional organisation.
 Read professional journals and quality
  newspapers for ideas and analysis.
 Look for examples of successful
  implementation.
 Get involved with working parties / groups.
 Create a contemplative space.
 Read, study, learn, apply and implement.
                                                13
       FOUR POLITICAL SKILLS

 Always keep the initiative

 Exploit the inevitable

 Keep in with the out

 Never stand between a dog and a lamp
  post or you will get caught in the cross
  fire
                                             14
    HORIZONS AND LANDSCAPES
 Moving to the next stage of your personal
  development and career.

 Reaching new and exciting heights.




 Starting out from different base camps –
  aspiring, emulating, striving, progressing,
  achieving.                                    15

								
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